Susan Starbuck Jordan, RNC, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000006289 Issued in TN

Practice address

1039 Executive Dr Ste 101
Hixson, TN 37343-7900

Phone

(423) 874-0125

Fax

(423) 874-0154

NPI assigned

Oct 14, 2005

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: susan.jordan.1@29980.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ringgold Pediatric Clinic, P.C.

  • Pediatrics Physician
  • Ringgold, GA
  • NPI 1366400533
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1427047331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 LAKESHORE PKWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161207",
            "telephone_number": "423-316-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 EXECUTIVE DR STE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437900",
            "telephone_number": "423-874-0125",
            "fax_number": "423-874-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SUSAN",
        "middle_name": "STARBUCK",
        "name_prefix": "Mrs.",
        "credential": "RNC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Lewis Jones, DPH
• Lisa Whiteford Jones, PHARM.D.
• Patricia P Jones, PAC
• Sarena Jones
• Michael Eugene Jordan Jr., DMD
• Florentina Enverga Juatco, R.PH.
• Joseph Julian, DDS
• K VA T Food Stores, Inc. (Food City Pharmacy #713)
• K VA T Food Stores, Inc. (Food City Pharmacy #703)
• Kyle Kaminski, PHARM. D.

• Family Nurse Practitioner in Hixson, TN
• Providers in Hixson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.